Complex Claims Examiner
On-siteHong Kong, Hong Kong
Job Summary
Manage intermediate to high complexity Casualty GL and Auto Liability claims from coverage enquiry through legal liability analysis and quantum assessment. Conduct initial file reviews, investigations, negotiations, and litigation management while ensuring accurate policy interpretation and consistent reserve discipline. Provide high-standard customer service and communicate developments to internal and external stakeholders, minimizing indemnity and vendor expense exposure. Contribute to best practice procedures and continuous improvement through Quality Assurance Review feedback. Work primarily in the office with a focus on timely, accurate claim resolution.
Required Qualifications
- Strong communication skills, both written & verbal
- Time management – ability to manage & prioritize workload and diary management
- Ability to contribute effectively within a team environment
- Ability to work with claims stakeholders to effectively direct claims strategy
- Good specialist knowledge in Casualty GL and Auto Liability technical claims
- Policy language skills enabling accurate and consistent policy wording interpretation
- A strong knowledge of legal / regulatory and litigation / procedural requirements for their line of business
- Some experience in negotiation, mediation, arbitration and ADR skills
- Strong experience in negotiating on intermediate to high complex claims
- Knowledge and experience in mediation, arbitration and Alternative Dispute Resolution
- Experience in effectively following up on recommendations from technical claims audits
- Experience in continuous claim handling improvement
- Primary in-office presence
Desired Qualifications
- Ability to participate in client review and Profit Centre meetings
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